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Pelvic computed tomography scan showed a heterogeneous mass with central necrosis (star) compressing and invading the urinary bladder. A Foley catheter (arrow) can be seen within the residual portion of the bladder.

Pneumaturia and Nephrotic Syndrome Caused by a HiddenPelvic Malignancy

A 78-year-old female was admitted to the cardiac critical care unit with concerns for acute on chronic heart failure exacerbation. She had a history of nonischemic cardiomyopathy that had previously remained stable over a period of 15 years through standard medical management. Six months prior to admission, she developed dyspnea and lower extremity edema. She […]

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Death or Debt? National Estimates of Financial Toxicity in Persons with Newly-Diagnosed Cancer

The purpose of this study was to evaluate the impact of cancer upon a patient’s net worth and debt in the US. Methods This longitudinal study used the Health and Retirement Study from 1998–2014. Persons ≥50 years with newly-diagnosed malignancies were included, excluding minor skin cancers. Multivariable generalized linear models assessed changes in net worth […]

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(A) Multiple erythematous to purple-colored papules on presentation. (B) Interval decrease in size and pigmentation of papules on day 9 of induction chemotherapy.

Connecting the Dots: A Case of Myeloid Sarcoma

A 73-year-old white gentleman with a medical history significant for stage IIA (pT3a, N0, M0) malignant melanoma managed by wide local excision from his right shoulder was referred to our cutaneous clinic for evaluation of locally recurrent disease. An excisional biopsy of the lesion 3 months prior had been interpreted as consistent with malignant melanoma, […]

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Selected cuts from magnetic resonance imaging of the spine.

Atypical Cause of Functional Decline in Parkinson’s Disease

A 74-year-old Chinese man with past medical history of Parkinson’s disease presented with rapid functional decline over 2 months. From being able to ambulate independently, he had become bedridden and was dependent in activities of daily living. On admission, he was also noted to be coughing on eating and had visual hallucinations for 2 weeks […]

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senior woman about to get a diagnostic test

Cervical Cancer Screening: What’s New? Updates for the Busy Clinician

In the United States, 12,000 women are diagnosed with cervical cancer each year, even though the screening for this disease is safe and effective. There are 3 types of screening options available: cervical cytology (Papanicolaou or “Pap” test), Pap/HPV (human papillomavirus) co-test, and HPV-only test. With simplified options such as HPV-only screening, providers who have been […]

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Increased Vulnerability to Poorer Cancer-Specific Outcomes Following Recent Divorce

Prior studies have only considered the association between static marital status and cancer-specific outcomes. We aim to measure the effect of recent divorce on cancer-specific outcomes. Methods There were 83,804 patients with 2 malignancies, diagnosed 12 to 60 months apart, from 1973-2006 from the Surveillance, Epidemiology, and End Results database. Patients were identified as newly […]

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